Priorytetyzacja i delegowanie w stylu NCLEX: zestaw na powtórkę

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. AVitamin K to the mother
2. BRh immunoglobulin within 72 hours
3. CA dose of the hepatitis B vaccine instead
4. DNo treatment is needed

A nurse has a needlestick injury from a used needle. What should the nurse do first?

1. ASqueeze the wound hard and suck it
2. BFinish the shift and report it tomorrow
3. CWash the area with soap and water
4. DScrub the area with bleach

A nurse has been fit-tested for an N95 respirator. What should the nurse do each time it is put on?

1. APerform a user seal check
2. BArrange a new fit test
3. CMoisten the edges so it seals better
4. DWear a surgical mask underneath it

A patient given naloxone for an opioid overdose wakes up. An hour later, the patient is drowsy again with slow breathing. What is the likely reason?

1. AThe patient is now allergic to naloxone
2. BNaloxone itself causes slow breathing and drowsiness once it has been given
3. CThe patient is simply tired after the event
4. DNaloxone wears off sooner than many opioids, so the opioid effect returns

Pacjent, któremu należy podać digoksynę, ma potas 3,1 mEq/L. Dlaczego ten wynik jest ważny?

1. ANiski potas sprawia, że digoksyna jest nieskuteczna, więc dawkę należy podwoić
2. BNiski potas zwiększa ryzyko zatrucia digoksyną
3. CNiski potas chroni serce przed działaniami niepożądanymi digoksyny
4. DPotas i digoksyna nie wchodzą w interakcje

A patient using an insulin pump has a glucose of 300 mg/dL (16,7 mmol/L) that has not fallen 2 hours after a correction bolus through the pump. Blood ketones are 1,8 mmol/L. What is the most likely problem and action?

1. ARebound after a hypo; give fast-acting carbohydrate and recheck in 15 minutes
2. BInsulin delivery failure; inject a correction dose by pen and change the set
3. CInsulin overdose from the pump; suspend the pump and stop all insulin for a day
4. DNormal pump function; wait for the next mealtime bolus to lower the glucose

Which equipment must always be kept at the bedside of a patient with a tracheostomy?

1. AA blood pressure cuff and a spare nasal cannula and oxygen mask only
2. BSpare tracheostomy tubes, including one a size smaller, and working suction
3. CA blood glucose meter and a spare urinary catheter of the same size
4. DA peak flow meter and a nebuliser

Pacjent od trzech dni ma nudności i wymioty oraz przyjmuje furosemid. Które zaburzenie elektrolitowe jest najbardziej prawdopodobne?

1. AHipokaliemia
2. BHiperkaliemia
3. CHiperkalcemia
4. DTylko hipernatremia

Która skala ciężkości zapalenia płuc uwzględnia splątanie, mocznik, częstość oddechów, ciśnienie krwi i wiek?

1. ACURB-65
2. BCHA₂DS₂-VASc
3. CSkala Wellsa
4. DNEWS2

A patient with rheumatoid arthritis is due to start an anti-TNF biologic drug. Which screening is essential beforehand?

1. AScreening for latent tuberculosis
2. BA peak flow diary for a month
3. CAn exercise ECG test on a treadmill
4. DA sweat chloride test

Which statement about the PSA blood test is correct?

1. AIt can be raised by benign problems as well as by cancer
2. BA raised result always means prostate cancer
3. CA normal result always rules out any prostate cancer
4. DIt is only raised in women with bladder cancer

A patient's corrected calcium is 1,7 mmol/L (about 6,8 mg/dL). Which ECG change is most typical?

1. AST elevation in all leads
2. BA shortened QT interval
3. CTall, peaked T waves
4. DA prolonged QT interval

Dlaczego tabletki o zmodyfikowanym uwalnianiu lub dojelitowe mogą nie działać dobrze u pacjenta z ileostomią?

1. ASzybki pasaż oznacza, że mogą przejść, zanim uwolnią lek
2. BStomia wchłania lek zbyt szybko do krwi
3. CEnzymy z ileostomii niszczą każdy rodzaj leków doustnych
4. DPacjenci z ileostomią nie mogą przyjmować żadnych leków doustnych

After surgery, a patient keeps asking for analgesia before it is due, watches the clock and rates pain 8/10. What is the most appropriate interpretation?

1. AThe patient is exaggerating, so the pain scores should be ignored for now
2. BThe patient is addicted and should have analgesia withheld
3. CPain may be undertreated; reassess and ask for a review of the plan
4. DThe patient needs only distraction and no change in drugs